Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1811622350 Individual Practitioner Female Practitioner

Dr. Jacklyn J Moon , DDS

Dentist • Milwaukee, WI

Professional Overview & Biography Verified Profile Summary

Dr. Jacklyn Moon, DDS is a registered healthcare professional specializing in Dentist in Milwaukee, WI. Practice services are available at 205 E WISCONSIN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

205 E Wisconsin Ave

Milwaukee, WI 532024207

Telephone 4147783600

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Milwaukee, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 2.3 Yrs
State Avg: 21.1 Yrs
Regional Practice Density
216 Specialists

Practicing in Milwaukee, WI (1850 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-07-19
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License WI 6000049-15

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1013836337
Nathaniel Strigenz

Dentist - General Practice

NPI 1356970370
Dr. Richard Park , DDS

Dentist - General Practice

NPI 1518525054

Doctor of Dental Surgery

Dr. Charles Lenarduzzi , DDS

Dentist - General Practice

NPI 1699704288

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 19, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location July 19, 2022

Registered at 205 E WISCONSIN AVE, MILWAUKEE, WI 532024207 (Tel: 4147783600)

📍
Updated Business Mailing Address July 19, 2022

Registered at 706 E JUNEAU AVE APT 3, MILWAUKEE, WI 532023520

👤
Provider Name / Credentials Updated July 19, 2022

Recorded as JACKLYN MOON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2022

Dentist (License #6000049-15 in WI)

🟢
Initial NPI Registration & Enumeration July 19, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811622350
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 19, 2022
Last Update: July 19, 2022
Sole Proprietor: No

Mailing Address

706 E Juneau Ave Apt 3

Milwaukee, WI 532023520

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.